ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019
Measles Outbreak at a Privately Operated Detention Facility: Arizona, 2016.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Managing outbreaks of highly contagious diseases in prisons: a systematic review.BMJ global health · 2020Pooled it
- Epidemiology of 3 Vaccine-Preventable Infectious Diseases Within US Immigration Detention Centers.JAMA network open · 2025Article
- The Effects of Vaccination Status and Age on Clinical Characteristics and Severity of Measles Cases in the United States in the Postelimination Era, 2001-2022.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Breakthrough Measles among Vaccinated Adults Born during the Post-Soviet Transition Period in Mongolia.Vaccines · 2024Article
- Measles Outbreak Associated with a Migrant Shelter - Chicago, Illinois, February-May 2024.MMWR. Morbidity and mortality weekly report · 2024Article
- Etiological analysis of discarded measles in the context of a measles outbreak among a highly immunized population.Pediatrics international : official journal of the Japan Pediatric Society · 2023Observational
- Control of a nosocomial measles outbreak among previously vaccinated adults in a population with high vaccine coverage: Korea, 2019.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022Article
- Control of measles in a juvenile custodial setting in the wake of the recent US outbreak.The Pan African medical journal · 2020Article
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Authors and funding
20 authors.
Funding
Abstract
backgroundWe describe a measles outbreak and control measures implemented at a privately operated detention facility housing US Immigration and Customs Enforcement detainees in 2016.
methodsCase-patients reported fever and rash and were either laboratory-confirmed or had an epidemiological link to a laboratory-confirmed case-patient. Immunoglobulin G (IgG) avidity and plaque reduction neutralization tests distinguished between primary acute and reinfection case-patients. Measles-specific IgG was measured to assess detainee immunity levels. We compared attack rates (ARs) among detainees and staff, between IgG-negative and IgG-positive detainees, and by detainee housing units and sexes.
resultsWe identified 32 measles case-patients (23 detainees, 9 staff); rash onsets were during 6 May-26 June 2016. High IgG avidity and neutralizing-antibody titers >40000 to measles (indicating reinfection) were identified in 18 (95%) and 15 (84%) of 19 tested case-patients, respectively. Among 205 unit A detainees tested for presumptive immunity, 186 (91%) had detectable IgG. Overall, the AR was 1.65%. ARs were significantly higher among detainees in unit A (7.05%) compared with units B-F (0.59%), and among male (2.33%) compared with female detainees (0.38%); however, ARs were not significantly different between detainees and staff or between IgG-negative and IgG-positive detainees. Control measures included the vaccination of 1424 of 1425 detainees and 190 of 510 staff, immunity verification for 445 staff, case-patient isolation, and quarantine of affected units.
conclusionsAlthough ARs were low, measles outbreaks can occur in intense-exposure settings, despite a high population immunity, underscoring the importance of high vaccination coverage and containment in limiting measles transmission.
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